Motorhome Insurance Quote

Max Insurances


D1, 27-29 William Pickering Drive,
Rosedale, 0632


Phone  0508 629 5626


Tel: 09 913 3011
Fax: 09 913 3012

Tell us a bit about your motorhome

Your Name

Date of Birth

Your Address

Contact Number

Your Email

Do you have existing motorhome insurance


If you have, could you tell us the insurance company name and your customer & policy no.

Vehicle Use


If your vehicle is used for business purposes, could you tell us the business type




CC Rating

Registration No.

Vehicle Value $

Would you like a quote for your contents inside the motorhome


Contents Value $

Please let us know the details if you would like to specify some contents

Alarm and/or Immobiliser


Parked in Locked Garage


Any Existing Damage or Defects


If your answer is 'yes' to previous question, please describe

Does your vehicle have non-factory fitted accessories valued over $1000 or modified in any way


If your answer is 'yes' to previous question, please detail

Is the vehicle on finance or lease


If your answer is 'yes' to previous question, what's the company

Who will be the main driver

What driving licence do you hold and how long have you held your licence for

Have you had any motor claims in the past 12 months


Any other relevant information that may affect the insurance cover

Declaration: I/WE HEREBY DECLARE AND WARRANT that the answers given above are in every respect true and correct, and that I/We have not withheld any information within My/Our knowledge likely to affect the decision of the Company as to My/Our eligibility for insurance. This request and declaration shall be the basis of the quote request.